- Title
- Management of chronic breathlessness: non-pharmacological and pharmacological interventions
- Creator
- Johnson, Miriam J.; Barbetta, Carlo; Currow, David C.; Maddocks, Matthew; McDonald, Vanessa; Mahadeva, Ravi; Mason, Martina
- Relation
- Palliative Care in Respiratory Disease p. 153-171
- Relation
- ERS Monograph 73
- Publisher Link
- http://dx.doi.org/10.1183/2312508X.10011915
- Publisher
- European Respiratory Society
- Resource Type
- book chapter
- Date
- 2016
- Description
- Effective interventions for chronic breathlessness exist and are distinct from interventions directed at the pathophysiology of the medical condition causing the breathlessness. Some, like pulmonary rehabilitation, have been accepted by the clinical community and are integrated into respiratory care, at least in part and for people with COPD. Others, such as breathlessness clinics, are less well recognised but have strong evidence to support their use. A better understanding of the ways that can be used to integrate breathlessness management systematically alongside disease management should drive further implementation research. Low-dose, steady-state oral morphine has a developing evidence base in support of a net benefit. However, not all people tolerate opioids and further research into alternative drug options is needed to help this distressing symptom.
- Subject
- chronic breathlessness; asthma; morphine
- Identifier
- http://hdl.handle.net/1959.13/1337508
- Identifier
- uon:27857
- Identifier
- ISBN:9781849840729
- Language
- eng
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